Nursing Elites

1. What is hydroxyapatite?

• A. A mixture of minerals such as calcium and phosphorus that strengthen the collagen matrix of bone.
• B. The structural unit of a bone that runs the length of the bone.
• C. The covering of bones at the point of articulation to prevent grinding.
• D. The lightest portion of a long bone and concentrated at the ends.

Correct answer: A

Rationale: Hydroxyapatite is a mineral compound composed of calcium and phosphorus that plays a crucial role in strengthening the collagen matrix of bones, contributing to their structural integrity and hardness. It is a key component of bone tissue and provides the mineralization necessary for bone strength and density. Choice B is incorrect because the structural unit of a bone is the osteon or Haversian system, not hydroxyapatite. Choice C is incorrect as it describes cartilage, not hydroxyapatite. Choice D is incorrect as it refers to the epiphysis, which is not synonymous with hydroxyapatite.

2. Which of the following terms describes stem cells that have the ability to develop into any cell found in the human body?

• A. Totipotent stem cells
• B. Multipotent stem cells
• C. Pluripotent stem cells
• D. Hematopoietic stem cells

Correct answer: A

Rationale: Totipotent stem cells have the unique ability to differentiate into any cell type in the human body and can generate a complete organism. They are considered the most versatile type of stem cells, capable of developing into all cell types, including extraembryonic tissues. Choice A, Totipotent stem cells, is the correct answer as it specifically describes stem cells with the broadest differentiation potential. Choice B, Multipotent stem cells, refers to stem cells that can differentiate into a limited range of cell types. Choice C, Pluripotent stem cells, can give rise to almost all cell types, but not the complete organism like totipotent stem cells. Choice D, Hematopoietic stem cells, are a type of multipotent stem cells that give rise to various blood cell types, but do not have the same broad differentiation potential as totipotent stem cells.

3. What is the name for the change in enthalpy (heat) associated with a chemical reaction at constant pressure?

• A. Entropy
• B. Enthalpy
• C. Gibbs free energy
• D. Heat of reaction

Correct answer: D

Rationale: The correct answer is D, Heat of reaction. The heat of reaction, also known as the enthalpy change, is the amount of heat absorbed or released during a chemical reaction at constant pressure. Entropy (A) is a measure of the disorder or randomness of a system and is not specifically related to heat changes in a chemical reaction. Enthalpy (B) is the total heat content of a system and not just the change associated with a reaction. Gibbs free energy (C) is a measure of the energy available to do work in a system at constant temperature and pressure, but it is not the specific term for the heat change in a chemical reaction.

4. Where does fertilization of the egg by sperm typically occur?

• A. Ovary
• B. Fallopian tube
• C. Uterus
• D. Vagina

Correct answer: B

Rationale: Fertilization of the egg by sperm typically occurs in the fallopian tube. After ovulation, the egg is released from the ovary and travels through the fallopian tube, where it may encounter sperm for fertilization. The fallopian tube provides the ideal environment, including necessary nutrients and conditions, for fertilization to take place before the fertilized egg moves towards the uterus for implantation. Choices A, C, and D are incorrect because fertilization does not occur in the ovary, uterus, or vagina. The ovary releases the egg, the uterus is the site for implantation, and the vagina is part of the birth canal but not the typical site for fertilization.

5. What is the difference between type 1 and type 2 diabetes, both related to insulin and blood sugar?

• A. Type 1 is caused by insulin resistance, type 2 by insulin deficiency.
• B. Type 1 is temporary, type 2 is permanent.
• C. Type 1 affects adults, type 2 affects children.
• D. Type 1 is treated with diet only, type 2 requires medication.

Correct answer: A

Rationale: The correct difference between type 1 and type 2 diabetes lies in their underlying causes. Type 1 diabetes is caused by the body's inability to produce insulin, while type 2 diabetes is characterized by insulin resistance, where the body doesn't effectively use the insulin it produces. Insulin resistance is a key feature of type 2 diabetes, distinguishing it from type 1 where insulin deficiency is the primary issue. Choices B, C, and D are incorrect. Type 1 and type 2 diabetes can both be chronic conditions, affecting individuals of different age groups, and typically require a combination of diet, exercise, and medication for management.

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